Auto Credit Superstore Credit Application

If you're looking to finance a particular vehicle, fill out the form below and
one of our representatives will contact you as soon as possible.
First Name:  
Middle Name:  
Last Name:  
SIN #:  -   - 
Date of Birth:  /   /   (MM / DD / YYYY)
Home Phone Number:  -   - 
Email Address:
Cell Phone:  -   - 

Residential Information
Time at Present Address: Years  Months 
Residence Type:  
Street Address:    


City:  
Province:  
Postal Code:  
Housing Payment: $ .00 per month 

If you have lived at your current address for less than 2 years, we will require your previous address information.
Time at Previous Address: Years Months   
(If less than 2 years at current residence)
Previous Street # / Name:    
Previous City:
Previous Province:

Employment / Income Information
Time with Employer: Years  Months 
Name of Employer:  
Occupation/Title:  
Work Address:
Employer Phone:  -   -   x 
Employment Income: $ .00 (Monthly pre-tax / gross amount) 
Other Income: $ .00
 
Source of Other Income:

If you have worked less than 2 years at your current employer, we require your previous employement information.
Time with Previous Employer: Years Months
Name of Previous Employer:
Occupation at Previous Employer:
Income at Previous Employer: $
Previous Employer Phone:  -   -   x 
Certification and Authorization

By submitting this application, I certify that all information herein is true and complete. I authorize lending institutions and participating auto dealer to retain this application, to rely on the foregoing, to check and verify my credit, employment and salary history.

By using our website, you authorize us to provide reports on the status of your application, including information concerning whether you pre-qualify for a loan, which lender's loan offer (if any) you choose to accept, whether your application for credit is denied, and whether you accept a loan from that lender.






  

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